Abstract
Introduction: Supernumerary roots in mandibular rst molars can be noted in about 24% of Asian population. But, the 4-rooted variant, described as Radix entoparamolaris is extremely rare, noted in only 0.04% of Asians. Case Report: A 27-year-old male patient was diagnosed with symptomatic irreversible pulpitis with apical periodontitis on the mandibular right rst molar. After anesthetizing the tooth using inferior alveolar nerve block, rubber dam isolation was done. The access cavity was prepared and the canal orices were located. Angled radiograph taken during working length determination revealed the presence of 4 roots (2 mesial and 2 distal). The cleaning and shaping procedures were performed using rotary les followed by obturation. Conclusion: This case report describes the successful endodontic management of Radix entoparamolaris, the 4-rooted variant of mandibular rst molar, which is extremely rare in our ethnic group.
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